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Exam (elaborations)

NJ Health Insurance Exam 2024/2025 Questions And Answers

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NJ Health Insurance Exam 2024/2025 Questions And Answers

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  • November 5, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nj health
  • Nj health
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SHANEDOE
NJ Health Insurance Exam 2024/2025



NJ Health Insurance Exam 2024/2025
Questions And Answers

Total disability definition can

vary among policies and companies




Permanent partial disability would be covered by

residual disability




An agent discussing disability income coverage with an individual who has
recently finished college and started with an entry level job. What rider should the
agent recommend for the client?

Guaranteed insurability rider



Allows you to purchase additional disability income insurance in the future without
having to prove insurability




Example of a presumptive disability

Nancy was completely blinded and will not recover her sight

,NJ Health Insurance Exam 2024/2025




Presumptive (catastrophic) disability

-often written with a disability policy

-disability of the insured will be presumed to be Total & Permanent upon loss of
sight, loss of the use of 2+ limbs, loss of hearing, loss of speech




How do Disability Income policies differ?

-Whether or not coverage is provided in addition to Worker's Comp



-The length of the elimination period



-How "Total Disability" is defined




An individual who has had a heart murmur since birth is likely to be issued a
policy that includes

An impairment rider




Impairment rider (exclusion rider)

Takes away coverage for a specified medical condition (diabetes or epilepsy)

, NJ Health Insurance Exam 2024/2025




Before Mr. Jones was disabled, he was a full-time engineer earning about $70,000
annually. Now, two years later he is able to work part-time, earning about $25,000
annually.



It is Likely that Mr. Jones is classified as

partially disabled




What is the purpose of the elimination period?

It specifies the number of days between which disability benefits will be paid




Under NJ minimum standards for individual health insurance policies, a
probationary period for "sickness" may not exceed

30 days




Recurrent disability

recurs due to the same benefit or related cause of loss within 6 months of the back
to work date, no elimination period upon recurrence




Basic Hospital Plan covers

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